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The Implementation of Computerized Cognitive Behavioural Therapies in a Service User-Led, Third Sector Self Help Clinic

Published online by Cambridge University Press:  22 February 2011

Kate Cavanagh ,
Nick Seccombe  and
Nicky Lidbetter
Kate Cavanagh*
Affiliation:
University of Sussex, UK
Nick Seccombe
Affiliation:
Self Help Services, Manchester, UK
Nicky Lidbetter
Affiliation:
Self Help Services, Manchester, UK
*
Reprint requests to Kate Cavanagh, School of Psychology, University of Sussex, Falmer, East Sussex BN1 9QH, UK. E-mail: kate.cavanagh@sussex.ac.uk
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Abstract

Background and aims: The efficacy and effectiveness of a computerized cognitive behavioural therapy (CCBT) package, Beating the Blues, has been demonstrated in a large randomized controlled trial and several pragmatic studies in the National Health Service (NHS). The current study tests the generalizability of this finding to the implementation of CCBT in a service user-led, third sector Self Help Clinic. Method: 510 referrals for the Beating the Blues program were received over a 16 month period in routine care. The Patient Health Questionnaire Depression (PHQ-9) and Anxiety (GAD-7) Scales were administered pre-treatment and during each treatment session. The 10-item Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM), Work and Social Adjustment Scale and Patient Experience Questionnaire were also administered pre-treatment and immediately on completing treatment. Results: More than two-thirds of referrals were suitable for treatment and completed a baseline assessment; 84% of these started the Beating the Blues program. Two-hundred and twenty-six people meeting caseness criteria at baseline completed at least two sessions of CCBT. Of these, 50% met recovery criteria at their final point of measurement. Completer and intention-to-treat analysis also demonstrated statistically and clinically significant improvements on key outcome measures. Conclusion: CCBT can be effectively implemented in a service user-led, third sector Self Help Clinic, increasing access to psychological therapies to meet local needs for tier two interventions for depression and anxiety.

Keywords

Computerized cognitive behavioural therapyCCBTself-helpincreasing access to psychological therapiesdepressionanxiety
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 39 , Issue 4 , July 2011 , pp. 427 - 442
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2011

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